HomeMy WebLinkAbout20062725.tiff RESOLUTION
RE: APPROVE STATEMENTOF GRANTAWARDFOR VICTIM WITNESS ASSISTANT UNIT
AND AUTHORIZE CHAIR TO SIGN
WHEREAS,the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with a Statement of Grant Award for the Victim
Witness Assistant Unit between the County of Weld, State of Colorado, by and through the Board
of County Commissioners of Weld County,on behalf of the 19th Judicial District Attorney's Office,
and the Colorado Division of Criminal Justice, commencing January 1, 2007, and ending
December 31, 2007, with further terms and conditions being as stated in said grant award, and
WHEREAS,after review,the Board deems it advisable to approve said grant award,a copy
of which is attached hereto and incorporated herein by reference.
NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld
County,Colorado,that the Statement of Grant Award for the Victim Witness Assistant Unit between
the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld
County,on behalf of the 19th Judicial District Attorney's Office,and the Colorado Division of Criminal
Justice be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said grant award.
The above and foregoing Resolution was,on motion duly made and seconded,adopted by
the following vote on the 2nd da of October, A.D., 2006.
14 EL BOARD OF COUNTY COMMISSIONERS
�.,. WELD COU , COLORADO
ELI I
ATTEST: • 4.,M. J. eile, Chair
Weld County Clerk to th`.'.r s t
♦,,= 1: EXCUSED
David E. Long, Pro-Tem
BY: i ‘1.4 d G1Cc
Dep Clerk t.'he Board ,�—�✓
William H. Jerke
APP' cY? AS O : EXCUSED
Robe . Masde
o Forney AO
I ate of signature:
1a f3I I Glenn Vaa
2006-2725
DA0020
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Review the checked items listed below. These items should be addressed as soon as
possible to avoid a delayed start to your 2007 grant.
Grant Award Process:
X BOTH copies of the Statement of Grant Award(SOGA) documents (BLUE AND
WHITE), the Special Provisions and Certified Assurances and the Certification of
Match form must be filled out completely, signed and returned to this office NO
LATER THAN SEPTEMBER 29, 2006. Early return of required documents is
strongly encouraged! BOTH copies of the SOGA MUST be returned so the
appropriate DCJ officials can sign the contract prior to the start date of the grant
award. A completed signed contract (white copy of the SOGA) will be returned to
you.
X REQUIRED SIGNATURES BY THE AUTHORIZED OFFICIAL AND ATTESTOR
ARE VERY IMPORTANT! YOUR AUTHORIZED OFFICIAL AND AN
"ATTESTOR" MUST SIGN THE SOGA SIGNATURE PAGE. Signatures must
be consistent throughout all documents. The Attestor is an individual who
can attest to your Authorized Official's legal authority to enter into contracts on
behalf of your agency. This person must sign on the "ATTEST BY" line.
Individuals who may attest include the following:
• Board Secretary for private non-profit agencies (or other officer if authorized
in the agency's bylaws— please provide a copy);
• Town/City/County Clerk for units of local government such as law
enforcement agencies, and
• The Clerk within the judicial district for District Attorney's offices (County
Clerk, not Court Clerk).
NOTE: The Attestor must sign and date the SOGA AFTER the Authorized
Official signs. All signatures must be in BLUE ink.
X AGENCY SEAL MUST BE AFFIXED. If no seal is available, you must circle
"no seal available" on the SOGA signature page.
X DO NOT USE WHITEOUT IF YOU MAKE A MISTAKE! To make corrections,
strike out the incorrect item or signature by drawing a single line through it. The
Project Director or Authorized Official must initial the strike out. Then put the
correct item or signature above, below, or next to it.
X Review the new twelve page Special Provisions and Certified Assurances
(SPCA). All of the new changes are printed in red and have to do with the
changes to Colorado law and illegal immigrants. Please have all three of your
officials, Authorized Official, Financial Officer, and Project Director, sign on page
twelve of the SPCA in BLUE ink.
X Please note all of the "SIGN HERE" stickers that have been placed throughout
the Statement of Grant Award, and have the appropriate individual, either the
Authorized Official or Project Director, sign where noted.
P:\dcj\Victims\VOCA\2007 Grant Process\Letters\newSOGACY20061etterDivision of Criminal Justice.doc
2006-2725
X Please examine page 1 of the SOGA. This is your final approved budget,
which includes both the federal and local match portions (if applicable).
Make certain that your financial officer, bookkeeper or accounting office
has only final, approved budget figures. You must adhere to this budget
unless you submit a budget revision AFTER COMPLETING the re-
contracting documents.
X We have included a Certification of Match form that indicates the same amount
of match for 2007 that was approved for 2006. This form is attached to each
copy of the Special Provisions and Certified Assurances. Fully complete both
copies of the Certification of Match form and have the Authorized Official sign
and date this page.
X Your grant award has a special condition, which must be met and reported on in
your quarterly reports. Please call DCJ staff if you have any questions about
your special condition.
X Grey EEOC Form must be filled out completely (including the person responsible
for reporting civil rights violations) and signed by Authorized Official.
Other:
Thank you in advance for your timely response.
Sincerely,
4 4ter
Rob Gallup
VOCA Administrator
(303) 239-4529
robert.gallup@cdps.state.co.us
P:\dcj\Victims\VOCA\2007 Grant Process\Letters\newSOGACY20061etterDivision of Criminal Justice.doc
DCJ FORM 30
CERTIFICATION OF COMPLIANCE WITH REGULATIONS
OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS
FOR SUBGRANTS ISSUED BY THE COLORADO DIVISION OF CRIMINAL JUSTICE
INSTRUCTIONS: Complete the identifying information, which is found on tle Statement of Grant Award(SOGA), in the
table below. Read the form completely,identifying, under "I,"the person responsible for reporting civil rights findings;and
checking only the one certification under "II"that applies to your agency Have your Authorized Official sign at the bottom
of page 2,forward a copy to the person you identified under "I"and return the original tdhe Colorado Division of Criminal
Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the grant award begtrning date.
Grant# 26-VA-19-558 Grant Project Title: Victim Witness Assistant Unit
Subgrantee Name(Funded Entity): District Attorney's Office, 19th Judicial District
Address:
PO Box 1167, Greeley, CO 80632
Duration: Beginning date: 1-1-2007 End date: 12-31-2007 Award: $32,606.00
Project Director's Name& Phone#:
JoAnn Holden 970-356-4010 x4747
AUTHORIZED OFFICIAL'S CERTIFICATION: As the Authorized Official for the above Subgrantee, I certify, by my
signature below,that I have read and am fully cognizant of our duties and responsibilities under this Certification.
I. REQUIREMENTS OF SUBGRANT RECIPIENTS: All subgrant recipients(regardless o&he type of entity or the amount
awarded)are subject to prohibitions against discrimination in any program or activity, and must take reasonable steps to
provide meaningful access for persons with limited English proficiency.
♦I certify that this agency will maintain data(and submit when required)to ensure that: our services are delivered in an
equitable manner to all segments of the service population; our employment practices comply with Equal Opportunity
Requirements, 28 CFR 42.207 and 42.301 et seq.; our projects and activities provide meaningful access for people with
limited English proficiency as required by Title VI of the Civil Rights Act,,See also, 2000 Executive Order#13166).
♦I also certify that the person in this agency or unit of govmment who is responsible for reporting civil rights findings of
discrimination will submit these findings, if any, to the Division of Criminal Justice within 45 days of the finding, and/or if
the finding occurred prior to the grant award beginning date, vithin 45 days of the grant award beginning date. A copy of
this Certification will be provided to this person, as identified here:
Person responsible for reporting civil rights findings of discrimination: (Name, address & phone)
Pat Persichino, Director of Personnel Services/HR
PO Box 758
Greeley, CO 80632
970-336-7220
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATIONS: Check the box beforeONLY THE ONE
APPROPRIATE CERTIFICATION(A, B, CI or C2 below)that applies to this subgrantee agency during the period of the
grant duration noted above.
O CERTIFICATION "A" [NO EEOP IS REQUIRED if(1), (2)or(3), below,apply.] This is the Certification that
most non-profits and small agencies will use. Check(1), (2)and/or(3) as they apply to your entity. (More than one may
apply.)
This funded entity has not been awarded more than$1 million cumulatively from all programs administered by the U.S.
Department of Justice over an 1&month period that includes the above grant duration periodfnd
(1) is an educational, medical or nonprofit institution or an Indian Tribe; and/or
_(2) has less than 50 employees; and/or
'^(3) was awarded through this grant from the Colorado Division of Criminal Justice less than $25,000 in federal
U.S. Department of Justice funds.
erefore, I hereby certify that this funded entity is not requird to maintain an EEOP, pursuant to 28 CFR 42.301,et seq.
(CONTINUED ON REVERSE SIDE)
Colorado Division of Criminal Justice Page 1 of 2 (Rev.8/30/2006)
,_j'2O'OG- -..27,2S-
DCJ FORM 30:
CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS,OFFICE OF JUSTICE PROGRAMS (Continued)
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP)CERTIFICATIONS: (Continued)
• CERTIFICATION "B" (EEOP MUST BE ON FILE)
This funded entity, as a fofprofit entity or a state or local government having 50 or more employees,was awarded,
through this grant from the Colorado Division ofCriminal Justice, more than $25,000, but less than $500,000 in federal
U.S. Department of Justice funds. Also, it has not been awarded more than $1 million cumulatively from all programs
administered by the U.S. Department of Justice over an 18month period that includes the above grant duration period.
Therefore, I hereby certify that the funded entity has formulated an Equal Employment Opportunity Plan in accordance
with 28 CFR 42.301,et seq., subpart E, that it has been signed into effect by the paper authority and disseminated to all
employees, and that it is on file for review or audit by officials of the Division of Criminal Justice or the Office for Civil
Rights, Office of Justice Programs as required by relevant laws and regulations.
El CERTIFICATION "Cl" (EEOP MUST BE SUBMITTED) This funded entity, as a fofprofit entity or a state or
local government having 50 or more employees, was awarded,through this grant from the Colorado Division of Criminal
Justice, more than $500,000 in federal US. Department of Justice funds, but, it has not been awarded more than $1
million cumulatively from all programs administered by the U.S. Department of Justice over an 1-tonth period that
includes the above grant duration period.
Therefore, I hereby certify that the funded entity will submit, within 45 days of the award, an EEOP or an EEOP Short
Form, that will include a section specifically analyzing the subgrantee(implementing) agency.
O CERTIFICATION "C2" (EEOP MUST BE SUBMITTED) This funded entity, having 50 or more employees, has
been awarded more than $1 million cumulatively from all programs administered by the U.S. Department of Justice,
including this subgrant from the Div. of Criminal Justice, over an I8month period that includes the above grant duration
period.
Therefore, I hereby certify that the funded entity will submit, within 45 days of the award, an EEOP or an EEOP Short
Form, that will include a section specifically analyzing the subgrantee(implementing) agency. (If you havdizady
submitted an EEOP applicable to this time period, send a copy of the letter received from the Office for Civil Rights
showing that your EEOP is acceptable.)
As the Authorized Official for the above Subgrantee, I certify, by my signature below, dt I have read and am fully cognizant of
our duties and responsibilities under this Certification.I,hereby,also certify that the content of this form,other than the data entry
required,has not been alter7d.
[Autho ze rcral's signature] [Date]
M.J. Geile Chair, Weld County Board of County
[Typed Name] [Title] Commissioners
* * * * * * * * * *
This original signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO
80215, within 45 days of the grant award beginning date. You must also forwarda signed copy to the person you identified
under "I"on page 1. DCJ will forward a copy to the Office for Civil Rights, Office ofJustice Programs, U.S. Department of
Justice.
Colorado Division of Criminal Justice Page 2 of 2 (Rev.8/30/2006)
rYeV' "e:(71/7O?-14—
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t-( 90, COLORADO DIVISION OF CRIMINAL JUSTICE
4l
7 STATEMENT OF GRANT AWARD (SOGA)
x' 87' (Second Year of Approved
pproved Funding)
FEDERAL PROGRAM INFORMATION
CFDA Number: 16.575
Federal Agency: Office of Justice Programs, U.S. Dept. of Justice
Federal Award Name & Number: Victims of Crime Act, Crime Victim
Asst. Program—24-VA-GX-0052, 25-VA-GX-0017, 26-VA-GX-0047
Subgrantee Agency Name: District Attorney's Office, 19th Jud. Dist.
Project Director: Ms. Jo Ann Holden
Address: P.O. Box 1167
Greeley,CO 80632
Grant Number: 26-VA-19-558
Project Title: Victim Witness Assistant Unit
Grant Period: 1/1/2007 - 12/31/2007
Date Issued: August 30, 2006
In accordance with provisions of the Colorado Revised Statutes§24-33.5-502, the Division of Criminal Justice hereby awards a
grant to the above-named subgrantee. The attached grant application (Exhibit A), including Special Provisions and Certified
Assurances, is incorporated herein as a part of this document.
APPROVED BUDGET
Budget Category Federal Cash Match In-Kind Match Total
Personnel $32,606.00 $8,152.00 $0.00 $40,758.00
Supplies and Operating $0.00 $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00 $0.00
* Equipment $0.00 $0.00 $0.00 $0.00
* Professional Services $0.00 $0.00 $0.00 $0.00
TOTAL AWARD $32,606.00 $8,152.00 $0.00 $40,758.00
AMOUNT
* Purchase of equipment requires prior completion and approval of DCJ Form 13.
* Professional services require prior completion and approval of DCJ Form 16.
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SPECIAL CONDITIONS
1. The Statement of Grant Award (SOGA) for Grant Number 25-VA-19-58 as well as the accompanying special
conditions, certified assurances, application and corresponding attachments issued as part of the SOGA, are
hereby incorporated into this SOGA by reference.
2. Prior to any funds being disbursed, the Subgrantee must submit to the Division of Criminal Justice its updated
goals and objectives and budget for the second year of this subgrant award (Janiary 1, 2007 to December 31,
2007). This information must be submitted on the Division of Criminal Justice grant management forms. The
Subgrantee must also submit a new EEOP form and Certification of Match form.
STATEMENT OF GRANT AWARD
INSTRUCTIONS
1. Grant activities must be based on the approved budget shown on page 1 of this Staterrent of Grant Award, and the approved
detailed budget(s),which supersedes any earlier budget request submitted,and which may be different from the budget originally
submitted in your application. The subgrantee must secure prior written approval from DCJ if there is to be a change in any
budget category (see DCJ Form 4-A).
2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary
financial reports.
3. The Subgrantee Agency affirms that the parties' agreement consists of a two-part document, the Statement of Grant Award
(SOGA),and Exhibit A, attached to the SOGA,which contains the Grant Application(inducing Project.Summary, Budget and other
Documents), the Certifications, the State Special Provisions, the Grant Requirements, 'he Federal Certified Assurances, and
signatures of persons authorized to sign on behalf of the Subgrantee Agency on each part of the two-part document.
4. Review carefully the current applicable Administrative Guide of the Division of Criminal Justice for this grant program,that includes
procedures regarding this document, drawdown of grant funds, reporting requirements and requesting grant modifications.
5. This grant award shall be effective upon the final approval by the State Controller or designee. No payment shall be
made pursuant to the grant prior to State Controller approval.
6. This grant award may be voided in whole without further cause if it is not signed by the subgrantee's Authorized Official and
returned to the Division of Criminal Justice within 45 days of the date of issuance.
7. The signature of the Authorized Official below should be the same as the one on the giant application. The subgrantee must
promptly notify the Division of Criminal Justice of any changes in the Authorized Official, Project Director, or Financial Officer,by
completing and submitting DCJ Form 4-B.
ADDITIONAL DCJ REQUIREMENTS
(1) Commencement within 60 Days. If the Division concludes that the project has not comrrenced within 60 days of the start date of
the grant period, the subgrantee must report the following by letter to the Division of Criminal Justice:
a. the steps taken to initiate the project;
b. the reasons for delay; and,
c. the expected starting date.
(2) Operational Within 80 Days. If the Division concludes that the project is not operational within 80 days of the original start date of
the grant period,the Division of Criminal Justice may begin termination or reduction in grant award proceedings as described in
"Special Provisions&Certified Assurances", Section entitled "Termination or Reduction in Grant Award."
(3) All subgrants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on DCJ Forms
1-A and 2-VOCA, the quarterly narrative and financial reporting forms. Technical assistance is available upon request.
(4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended funds
remaining at the end of the grant period must be returned to the Division of Criminal Justice.
RETURN:
ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office for Victims
Programs, 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are obtained, the white SOGA copy
with approved application will be returned to your Project Director.
Page 2 of 3
•
STATEMENT OF GRANT AWARD
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
SUBGRANTEE: STATE OF COLORADO:
District Attorney's Office, 19th Jud. Dist.
Legal Name of Subgrantee Agency BILL OWENS, GOVERNOR
Agency FEIN (or Soc I Security)# 846000813 E //�� � �Y
By /lt7' /i.114 By L�k t-/'L.Z2 t �/V
Si nat re otGAuthorized Official
DIRECTOR Colorado Division of Criminal Justice
M. J. Celle. Chair. Weld County Commi ccinners Carol C. Poole, Acting Director
Print Name & Title of Authorized Official Print Name & Title of Direct
Date Signed: 10/02/2006 Date Signed: /b O e
Provide signature of Corporate/Board Secretary or
equivalent,or Town/City/County Clerk,to certify that person
ATTEST BY: named as Authorized Official above has the legal authority STATE OF COLORADO LEGAL REVIEW:
to enter into binding legal contracts on behalf of this agency,
and is in fact the person who signed where indicated. See Contract Routing Waiver# 89
(or,if not waived)
10/02/2006
Signature Date John Suthers, ATTORNEY GENERAL
pNi- ` ` ! c �� (970)356-4000
oss\ Phone BY:
V _
,, .%
:. : A ! % � Date Signed:
`�,�
Ahl
4407
By:�•>•��frf f CC
D�NiSt era" /, to th Board
ALL ONTRACTS & SUBGRANT AWARDS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This subgrant award is not valid until the
State Controller, or such assistant as he may delegate, has signed it. If performance begins prior to the date below, the
State of Colorado may not be obligated to pay for the goods and/or services provided.
STATE CONTROLLER:
�LESLIEE LESLIE M.
SHENEFELT
BY \ / V W
DATE l l f 3 (Cleo
Page 3 of 3
Attachment#1
SECTION A: AGENCY INFORI►AT►Oi`
Please do NOT change,format of table or applicnion
1. APPLICANT AGENCY: District Attorney's Office, 19th Judicial District bCTUSE ONLY
Program Name: Victim Witness Assistant Unit "App# 25-VA-;q- '(CY 2406)11
Mailing Address: PO Box 1167 'Grant# , 11, b, b 0
Street Address: 915 Tenth Street Award$ 3 Z/, bole
City/Town: Greeley Zip Code: 80632 idt �-- at" VA-- )cp--ggg
County: Weld Judicial District 19th New Applicant Agency
Phone#: (970)356-4010 I Fax#: (970)352-8023 Z Continuation.Applicant Agency
E-Mail Address: jholden@co.weld.co.us
Federal Employer Identification Number(FEIN): 84-6000813
2. CONTACT PERSON: Jo Ann Holden Position: Community Programs Administrator
Phone#: (970)356-4010 Fax# : (970)352-8023 E-Mail: jholden@co.weld.co.us
3. FUNDS REQUESTED: $32,924
14. APPLYING FOR: I ® VOCA
SECTION 13: PROJECT NARR,VEIYE
5. BRIEF PROJECT TITLE: Domestic Violence&Special Populations Project
6. BRIEF PROJECT SUMMARY:
The Victim Witness Assistance Program is a prosecution-based project,serving all of Weld County providing direct services to adult
and child victims of domestic violence,victims of child sexual abuse,adult sexual assault victims, and underseved victim populations
including elderly victims, Spanish-speaking victims,and at-risk adult victims.
The Domestic Violence Fast Track Program in the District Attorney's Office provides next day contact with victims, referrals,
Victims'Rights and Criminal Justice System information. This type of contact is crucial when working with domestic violence
victims to effectively address their needs and to achieve ultimate success in prosecuting.
7. DESCRIPTION OF PROJECT FOR WHICH FUNDS ARE BEING REQUESTED:
The Victim Witness Assistance Program in the 19th Judicial District Attorney's Office,is the only prosecution-based program serving
victims and witnesses of crime in Weld County. The VOCA project enables the Program to provide enhanced services to time
victims of domestic violence and victims in other special propulations such as elderly victims,Spanish-speaking victims, and at-risk
adult victims. VOCA partially funds the salaries and benefits for three Victim Witness Assistance Unit Staff who provide direct and
ongoing services to victims.
Victim Witness Staff work with domestic violence victims from initial contact for"meaningful consulation"to court support at
hearings and trials. Victims are kept well-informed and supported regarding their rights under the Victim Rights Amendment,Victim
Compensation, as well as being given appropriate referrals and resources. Victim Witness Staff is also available to facilitate
communication with Spanish-speaking victims with prosecutors or the court. The Program insures prompt assistance and service
referrals to victims,as well as enables prosecutors to quickly and efficiently assess a case to potentially attain a swift resolution.
Training will be available to law enforcement training with emphasis on primary aggressor,investigative techniques and victim
dynamics.
The comprehensive services provided by the Victim Witness Assistance Program are: crisis counseling, follow-up contacts,criminal
justice education and advocacy,personal support,information and referral,emergency financial assistance,Crime Victim
Compensation information,HIV notices and education,Victim Rights Amendment notices,helping victims with Victim Impact
Statements and Restitution Information and supporting victims when they come to court to invoke their rights or when subpoenaed.
,+ _>
.L.i`.I Oy i31✓+.
APR 0 7 2 O5
2005 VOCA Application
Page 1 of 16
SECTION C: GOALS AND OBJECTIVES
Please do NOT than,e ormat of table or a s t heat/on.
8. COMMON GOAL AND OBJECTIVES FOR THIS PROJECT: (Important: See instructions first)
Record the percent of victims served by VOCA funds plus matching dollars: (select one option only)
❑ Option 1: I am reporting the number of victims and services provided served with only VOCA fiords and matching fonds.
OR
Z Option 2: I am reporting the total number of victims served by the agency's entire victims assistance program. The VOCA
grant plus matching hinds represent approximately 9 '% of the agency's total victim assistance budget.
COMMON GOAL I: This project will provide direct services that assist crime victims with emotional and physical needs to
stabilize their lives,provide for a measure of safety and security and/or enhance victims'experience with the criminal justice
system.
• Common Objective 1: Provide services to the following unduplicated number of crime x ictims during the first12-month
grant period.
Count each victim ONLY ONCE,by predominant type of crime. Please see definition of victim and unduplicated count in the instructions.
VICTIMS TYPE OF CRIME VICTIMS TYPE OF CRIME (continued)
200 Child Physical Abuse f 800 Assault
300 Child Sexual Abuse 0 Adults Molested as Children
1,400 Domestic Violence 50
Elder Abuse(including Economic exploitation
and fraud crimes)
50 Adult Sexual Assault �_z 80 Robbery
' 1,000 Other violent crimes such as hate and bias
530 Victims of vehicular assault or homicide, DUI/DWI 1E1 crime, gang violence, crimes against seniors
FA
crashes, or careless driving resulting in death. (Be specific): burglary, menacing, theft
]00 Survivors of Homicide Victims
TOTAL UNDUPLICATED VICTIMS ESTIMATED TO BE SERVED DURING THE 12-MONTH PERIOD: 4,510
• Common Objective 2: Provide the following types of services to the following estimated number of victims:
Count each victim ONLY ONCE for each applicable service, regardless of the number of times a type of service is provided to the victim.
No number listed in any category of`Common Objective 2'should be greater than the total number of victims reported in `Common
Objective I'.
SERVICES rds
VICTIMS "* VICTIMS SF.RVICRS(continued)
R4,
900 Crisis Counseling(in person) s 40 Emergency Financial Assistance
3,000 Follow-up : 0 Emergency Legal Advocacy
0 Therapy ;4 3,000 Victim Compensation Assistance (required)
mss
0 Group Treatment/Support -. 200 Personal Advocacy
l�t
0 Shelter/Safehouse '11 3,000 Telephone Contact
900 ( 1,500 Other(Be Specific):
Info/Referral (in person)
2,500 Criminal Justice Support/Advocacy additional letters
2005 VOCA Application
Page 2 of 16
1 j-i d ct- }-\t IJ( flh.� C -�1 ' (.f 1 1 1.0.. 7 J�1\ 'I� 1
9. PROJECT SPECIFIC GOALS AND OBJECTIVES: Please do not include more than three additional goals with
objectives. All goals and objectives must fit on this page. See instructions for more information.
PROJECT SPECIFIC GOAL 2: To provide direct assistance to victims of domestic violence(in cases where the defendants
are prosecuted by the 19th JD District Attorney's Office) by reinforcing safety planning, offering information on counseling,
Victim's Compensation, community referrals, Victims' Rights and Criminal Justice System information
Objective 2 A: By December 31, 2006, the Victim Witness Assistance Program will provide services to 1400 primary victims
of domestic violence.
Objective 2 B: By December 31, 2006,the Misdeameanor Domestic Violence Fast Track Program will provide finial
"meaningful consultation" to 90% of victims within 24 hours of the criminal episode which will result in a 50% disposition
rate at the defendant's initial hearing, resulting in a defendant's placement into court ordered treatment.
Goal 3:—To provide services to victims and their families in criminal cases of child abuse, child sexual abuse, adult sexual
assault,elderly victims,at-risk adult victims and Spanish-speaking victims with information and support regarding the
Victim Rights Amendment, Criminal Justice System,Victim Compensation,Victim Impact and Restitution Statements and
court support.
Objective 3 A. By December 31,2006,the Victim Witness Assistance Program will provide 10.000 Victim Rights Letters to
these victims which will include information regarding the Criminal Justice System and Victim Compensation.
Objective 3 B. By December 31,2006,the Victim Witness Assistance Program will provide Victim Impact and Restitution
Statements to 4510 victims.
Objective 3 C. By December 31, 2006, the Victim Witness Assistance Program will provide court support to 1000 victims
including domestic violence victims.
Objective 3 D. By December 31,2006,the Victim Witness Assistance Program provide Goal 4 services to 350 Spanish-
speaking victims including domestic violence victims.
2005 VOCA Application
Page 3 of 16
SECTION D: BUDGET INFORMATION
Please do NOT Chan,e ormat o table or a,I lication.
10. PROJECT FUNDS REQUESTED BUDGET:
Continuation Applicants till out Columns 1,2 and 3. DCJ Use Only: Application # -VA-
New Applicants (ill out Column 2 only. 5° PP -
ALL APPLICANTS Continuation
Continuation Applicants Applicants
(Column 1) (Column 2)
(Column 3)
Current Grant Award REQUESTED BUDGET Increase or
Decrease
PERSONNEL PERSONNEL (+ / -)
Employee/Job Position (FTE) 1 Employee!Job Position (Full Time Equivalent)
Patch Comm Sery Corm II .19 $7,001 1 Patch, Corn Sery Coun II .19 FTE $7,354 `: $353
Blakely, Corn Sery Tech .39 $10,628 Henrichs, Corn. Sery Tech .42 FTE $11,160 $532
Suites, Corn Sery Tech .37 $4,831 a Lopez, Corn Sery Tech .37 FTE $9,844 a $5,013
Gailitis, Com Sery Tech .35 $4,544 1 $0 c. $-4,544
$0 $0 $0
$0 0 $0 I $0
$0 $0 $0 -
C
$0 _ $0 IC $0
$0 $0 1? $0
Fringe Benefits $4,348 1= Fringe Benefits $4,248 i $-100
Subtotal $31,352 Subtotal $ $32,606 $1,254
SUPPLIES AND OPERATING SUPPLIES AND OPERATING EXPENSES(cep'.ing,rent, (+/ )
EXPENSES phone, tuition,registration fees and other items under$5,000)
SO $0 so
So $0 $0
so $o = $0
$0 $0 $0
$0 r $0 , $0
Subtotal SO e Subtotal $0 i'; $0
1N-STATE TRAVEL IN-STATE TRAVEL(itemize transportation/per diem, etc) (+/ -)
SO $0 $0
$0 SO SO
So _ $0 $0
Subtotal I $0 Subtotal $0 ` $0
EQUIPMENT' EQUIPMENT(items that cost over$5,000 each) (+/ -)
SO $0 SO
Subtotal $0 Subtotal $0 SO
PROFESSIONAL SERVICES PROFESSIONAL SERVICES (+1 _)
$0 $0 r- $0
$0 _ $0 $0
Subtotal $0 Subtotal I $0 '. SO
TOTAL FUNDS: $31,352 TOTAL FUNDS REQUESTED: $32,606 ` .S1,254
2005 VOCA Application
Page 4 of 16
� J j
11. MATCHING FUNDS BUDGET: List the total matching funds. ALL VOCA PROJECTS MUST PROVIDE MATCH. See
instructions for more details.
PERSONNEL(Employees/Volunteers of the applicant agency)
Employee/Volunteer/Job Position(Full Time Equivalent) I
Patch,Community Sery Couns II .06 FTE $2,134
Henrichs, Community Services Tech .12 FTE 1 $3,240
Lopez, Community Services Tech.11 FTE $2,778
Fringe Benefits $0
Subtotal 58,152
SUPPLIES AND OPERATING EXPENSES(copying, rent, phone, tuition, registration fees and other items under$5,000)
SO
$0
Subtotal $0
OTHER: In-State Travel,Equipment and/or Professional Services(specify)
$0
$0
Subtotal I $0
TOTAL MATCHING FUNDS: $0
SOURCE OF MATCH: non-federal governmental funds IN-KIND: $0 CASH: $8,152
12. GRANT BUDGET SUMMARY: This chart summarizes all dollars by category. All applicants should fill out pertinent
sections. If your project does not have matching funds, leave match columns blank.
BUDGET CATEGORIES Funding Request In-Kind Match Cash Match TOTALS
Personnel $32,606 $0 $8,152 540,758
Supplies &Operating $0 $0 $0 $0
Travel $0 $0 $0 $0
Equipment $0 $0 $0 $0
Professional Services $0 $0 $0 $0
TOTALS 532,606 $0 $8,152 $40,758
Match Total
Funds Requested Total Project Cost
(In-Kind Match+Cash Match)
$32,606 $8,152 $40,758
2005 VOCA Application
Page 5 of 16
13. BUDGET DETAIL AND JUSTIFICATION: (Do not exceed the two pages allowed for this budget narrative.) Please
provide the following information for each budget category:
A. PERSONNEL REQUEST AND MATCH:
I) Please explain how you arrived at the cost of the salaries and benefits you are requesting.
As recommended by Weld County's Personnel Services, the salary and benefit costs for all positions are established by the Board
of County Commissioners. The County Commmissioners award a cost-of-livng raises and step-increases. These increases are
estimated at 5%. The VOCA Grant request reflects a 5% funding increase for salaries and benefits for a total increase of$1,562.
2) Please provide the followinwADDI'1TONAL information on the positions for which y u are re uestin g fundin r.
Employee/Job Position Requested 1l of hours 4 of hours FTE If THIS grant funding If THIS grant funding
per week per week will not pay for the will not pay for the entire
requested this entire position, what is position, what is the
for THIS position the SOURCE of other AMOUNT of other funds
grant works in funds that will be used that will be used to pay
period(12 total. to pay for the rest of for the rest of this
months) - this position? osition?
Patch 8.40 40.00 1.00 grants, admin, gov 42,722
Owens 17.20 40.00 1.00 grants, admin, gov 24,878
Lopez 16.00 40.00 1.00 grants, admin, gov 24,193
0.00 0.00 0.00 0
0.00 0.00 0.00 0
0.00 0.00 0.00 0
3) Using concrete data, fully explain and justify any increase in dollars for each position (s) requested. See instructions
for more detail.
These positions are based on Weld County's Personnel Departments salary and fringe benefits scale. The increase in salary and
fringe for 2006 of$1,562 is an estimated projection of 5%based on previous years increases in salary and fringes.The Victim
Witness Unit is currently relying on excess VALE and Victim Compensation Administrative Funds accured in previous years, to
meet current costs in running the Victim Witness Assistance Program.
Karol Patch has been with the Victim Witness Assistance Unit for over 6 years bringing knowledge and expertise to this project.
$38,165 x .22 FTE _ $8,537 (salary and benefits)
Owens brings extensive knowledge regarding the Criminal Justice System and Victims' Rights Amendment.
28,130 X .46 FTE= $12,957 (salary and benefits)
Lopez brings her abilities as a bilingual Victim Witness Assistant with extensive knowledge in Victim's Compensation and
Restitution.
$26,525 X .43 VIE=$11,430 (salary and benefits)
2005 VOCA Application
Page 6 of 16
13. BUDGET DETAIL, AND JUSTIFICATION(CONTINUED)
I B. SUPPLIES AND OPERATING REQUEST AND MATCH: Please see instructions,and fully explain and justify the need
for the current request and for ally increase over last year. Include and identify any supplies and operating used as
cash or in-kind match.
N/A
C. IN-STATE TRAVEL REQUEST AND MATCH: Please see instructions, and fully explain and justify the need for the
current request and for any increase over last year. Include and identify any travel items used as cash or in-kind match.
N/A
D. EQUIPMENT REQUEST AND MATCH: Please see instructions, and filly explain and justify the need for the current
request. Generally, funding of equipment is minimal. Include any equipment used as cash or in-kind match,.
N/A
E. PROFESSIONAL SERVICES REQUEST AND MATCH: Please see instructions, and filly explain and justify the need
for the current request. Include and identify any professional services used as cash or in-kind match. Please note that
professional services expenditures require prior approval by DCJ (Form 16).
N/A
F. DIFFERENCES FROM LAST YEAR'S REQUEST (Continuation Subgrantees only): Please briefly summarize the
reasons for the differences between this request and your current grant award.
The only difference between 2005 VOCA Grant Request and 2006 VOCA Grant Request is a 5%increase for salary and benefits for
staff involved in the project. Although the 2006 Goals and Objectives have been revised to emphasize the Domestic Violence and
Special Population Project rather than the overall services provided by the entire VW Unit as were hdicated in the 2005 grant. The
services provided contain no tremendous differences from the VOCA Grant Project currently being funded.
2005 VOCA Application
Page 7 of 16
14. TOTAL AGENCY VICTIM SERVICES FUNDING THAT YOUR PROGRAM IS CURRENTLY
RECEIVING:
FUNDING START DATE END DATE
AMOUNT
FEDERAL. FUNDS: Month / Day / Year Month / Day / Year
VAWA funds: $9,000 : 4 / 1 / 05 3 / 31 / 06
VOCA funds: $31,352 1 / 12 / 05 12 / 31 05
FVPSA (ACT) funds: $0 / /
Other US Dept. of Justice funds such as Byrne $0
(DCSIP), Juvenile Justice, COPS, etc. / /
Sex Assault Prevention funds: _ $0 111I / / / ,
Other Federal funds: . $0 / / / i --
STATE FUNDS:
State VALE funds: $0 / / / /
State DAAP funds: $0
III
Other State funds(e.g. general fund) $0 / / / ,
LOCAL GOVERNMENT FUNDS:
Local VALE funds: Judicial District: 19 $72135 '` 7 / 1 / 04 6 / 30 / 05
Judicial District: 111: $0 / / / ,
Judicial District: ', $0 / / / /
Judicial District: - k $0 / / / /
Local Government funds: ` $97693 1 / l / OS 12 / 31 / 5
$0 / / --- / (
:111PRIVATE OR OTHER FUNDS:
Private fiords: / / / /
—..
Other funds:VALE ALE &COMP Admin Funds S$1 107173 ! /
15. DIVERSIFICATION OF FUNDING: Address diversity of funding. See instructions,
The Victim Witness Assistance Program in the Weld County District Attorney's Office utilizes grant funding from Local VALE,
VOCA and VAWA, Administrative Funds from VALE and Victim Compensation and County funding. The VW Unit has increased
its efforts in obtaining volunteer school interns to add more working hours to the many duties the Unit is responsible for completing.
Additional funding sources continue to be sought.
2005 VOCA Application
Page 8 of 16
' SECTIO CONTINUATION APPLICANTS PROG' . HISTORY
❖ Continuation A 'licants Onl +
16. SUMMARY OF PROGRESS: In the grid below, briefly document the progress made in meeting projected goals and
objectives for the previous grant project. Note specific services that were provided. Space below the grid has been provided for
explanations of unmet goals and to record outcomes that were not measurable in a way that fits the reporting grid. (Ideally all
goals and objective would fit in the grid.)
A. Common Goal 1: (Objective 1)
- Est.0 I Actual# I TYPE OF CRIME Vit.t Est.# Actual 0 TYPE OF CRIME l Victims -w Victims Victims
1
150 1333 Child Physical Abuse `P 750 887 Assault
`.
450 336 Child Sexual Abuse c0 0 Adults Molested as Children
r x Elder Abuse
2250 1697 Domestic Violence ax 2 7
75 85 Adult Sexual Assault : 100 80 Robbery
Victims of vehicular assault or homicide, g Other violent crimes(specify):
1000 386 DUUDWI or careless driving resulting in ,:c1 1000 2188
injury/death.
50 I 142 Survivors of Homicide VictimsOf 5827 6141 TOTAL CRIME VICTIMS
B. Common Goal 1: (Objective 2)
Brit Actual 0 SERVICES : Est.0 Actual 0 SERVICES
Victims Victims 1, Victims Victims '
900 911 Crisis Counseling(in person) 20 36 Emergency Financial Assistance
AR
3000 3408 Follow-up ' 0 IK 0 Emergency Legal Advocacy
0 0 Therapy 5000 4457 Victim Compensation Assistance
0 0 Group Treatment/Support m 20 191 Personal Advocacy
0 0 Shelter/Safehouse 2250 3583 Telephone Contact
900 908 Info/Referral (in person) 1500 2990 Other(Be Specific):
2500 2533 Criminal Justice Support/Advocacy 1j 16,090 19,017 TOTAL SERVICES
C. Project Specific Objectives:
Estimated # for Service Provided* I Actual #Achieved
each Objective (Outcome)
20,000 staffed waiting area, trial coordination, case-satus info, court support 35,276
400 help victims apply for Victim Compensation 426
20 help victims receive emergency financial assistance 36
15 provide HIV education and notification 2
65 contact 65 elderly victims providing comprehensive services 67
`13,000 provide Victim Rights Amendment notices to victms 18,630
I). Unmet Outcomes: If outcomes did not meet projections, explain here: * The Objective regarding providing 11IV education
and notification to 15 victims was not met because the original number indicated was based on incorrect information as to which
defendants would be ordered to undergo I11 V testing, the consequence being less victims who needed to he notified.
E. Objectives Not Fitting Grid Format: For objectives that do not fit in the grid above, report their progress here. Ideally, all
objectives should be measurable in a manner that fit the grid format in item B. * Additional grid objectives:
15 trainings to law enforcement and victim services agencies 24 completed
2000 provide information to Victim Rights Victims and Careless Driving with Injuries 3126 victims
Other: Provide staff support&participate in coordinating groups -Done outlines on-going coordination efforts.
*Additional pages may be attached to your APPENDIX if needed.
2005 VOCA Application
Page 9 of 16
SECTION F: SUPPORT,COORDINATION AND NETWORKING
Please do NOT change format of table or a,s&ation.
17. COMMUNITY SUPPORT, COORDINATION AND NETWORKING:
A. LETTERS OF SUPPORT: List the agency names and persons that provided the three letters of support in your appendix.
AGENCY PERSON/POSITION DCJ USE ONLY
Sexual Assault Survisor's Inc Anpeytu Rahen\Director
South Weld Victim Services Patti VissatADirector
A Woman's Place Ellen Szabo ADirector
B. MEMORANDUMS OF UNDERSTANDING OR AGREEMENT: List the agencies with which you have active
memorandums of understanding(MOUs)or agreement regarding coordination and provision of services. Attach the MOUs in
the appendix.
A Kid's Place/CARE Child Advocacy Resource Center Weld County Legal Services/Envision C
A Women's Place/Adult Sexual Assault Program UNC
Partners/South Weld Victim Services/Catholic Charities
Greeley Police Department/Colorado Legal Services THE AGENCIES LISTED AS WELL AS THE DISTRICT
Sexual Assault Survivor's Inc/Area on Aging ATTORNEY'S OFFICE VICTIM WITNESS UNIT IIAS
19'h JD Probation Victim Services/Weld County Sheriffs Office A COODINATION AGREEMENT (SEE ATTACHED)
C. REFERRALS MADE TO YOUR PROGRAM.
1. South Weld County Victim Services Program
2. Greeley Police Department, Victim Services Program
3. A Woman's Place,Inc.
4. Sexual Assault Survivor's Inc.
5. A Kid's Place/CASA of Weld County
6. North Colorado Medical Center
7. Weld County Department of Social Services
8. 19'I'Judicial District Courts
9. 19`1'Judicial Districe Probation Deaprtment Victim Services
10. Envision
D. REFERRALS YOU MAKE TO OTHER PROGRAMS.
I. A Woman's Place, Inc.
2. Catholic Charities, Northen
3. Child Advocacy Resource& Education(CARE)
4. Colorado Legal Services
5. l9`11 Judicial District Probation Department, Victim Services Program
•
6. Sexual Assault Survivors, Inc.
7. Weld County Department of Social Services
8. North Range Behavioral Health Center
9. Greeley Police Department
10. South Weld Victim Services Program
2005 VOCA Application
Page 10 of 16
SECTION G: VICTIM INFORMATION AND ASSISTANCE
Please do NOT cltan,e.format o table or a''Hanlon.
18. CULTURAL COMPETENCY PLAN: See instructions for additional information.
Latinos/Hispanics are a statistically significant minority in the 19th Judicial District at 27% of the population. To assure
sensitivity and relevancy in addressing the needs of Spanish speaking victims, the Victim Witness Unit has a fulltime Spanish
bilingual Victim Witness Assistant. Victim Witness Unit Staff are encouraged to take conversational Spanish classes offered by
Weld County so all staff can at least communicate minimally until the Spanish bilingual Victim Witness Assistant is available.
Positions open in the Unit give a hiring preference to Spanish bilingual applicants. The Victim Rights Amendment Brochure,
Victim Compensation information and other key letters have been translated into Spanish. The Victim Witness Unit seeks to
maintain cultural competency by actively participating in various community groups, education that is relevant to cultural
sensitivity and to proactively be involved in community efforts to assess and address issues and needs related to cultural
competency.
19. VICTIMS RIGHTS ACT: (See instructions for additional information.)
A. Training: What training does your agency provide to direct services staff and volunteers about giving information to
victims on their ri hts under the Colorado Constitution?
The previous supervisor of the Victim Witness Assistance Unit provided Victim Rights Act training to all new staff and volunteers
including requiring them to read copies of the Victim Rights Brochure and VRA statutes. New staff members received VRA-
specific training from a knowledgeable staff person and were strongly encourage to attend relevant state training when it is offered.
Jo Ann Holden, Victim Witness Coordinator, will he conducting specific Victim Rights Training to the Victim Witness Assistance
Staff in May 2005.
B. Date of the last training: continual Provided by: Gary Ratlike
C. Does your agency have a statutory mandate to notify victims of their rights trader the Victim ® Yes ❑ No
Rights Act?
D. If applicable, how do you notify victims of their rights under the Victims Rights Act?
The Victim Witness Unit provides written or phone notifications to all victims designated in the Victim Rights Amendment prior to
each of the critical stages of the court system. Initial notices include VRA Brochures, Victim Compensation information and
community resource information.
E. If you answered 'yes' above, how do you document that such notification has been given?
Documentation of all VRA notifications is maintained on the outside of the DA case file and in the database of DA's Office
including a screen for tracking BRA notices.
F. List the approximate number of Victims Rights Act notifications made by 20,000
your agency each year:
G. Does your agency have a Victims Rights brochure that is distributed to victims? ® Yes * ❑ No
*If yes,please attach one copy in the appendix of the grant application.
H. In what languages are your Victims Rights Act brochures available?
English and Spanish
2005 VOCA Application
Page llof16
20. VICTIM COMPENSATION: (See instructions for more information.)
A. How does your agency regularly inform victims about the Victim Compensation program and assist them in applying
when appropriate?
The Victim Witness Assistance Program provides information to victims concerning Crime Victim Compensation by distributing
Victim Compensation Brochures(English and Spanish) and application forms, referring to Victim Compensation in VRA
I Brochures, providing Victim Compensation Training at law enforcement departments, victim service agencies and other local
groups, and explaining and helping victims to complete application forms.
H. Are there any major issues that hinder your victim assistance program in helping crime victims apply for Victim
Compensation benefits and understanding eligibility requirements?
None —. -- -- ---
C. Are any of the services provided by your agency eligible for Victim Compensation ❑ Yes ® No
reimbursement? List services:
N/A
I). Please describe how your agency tracks funds and services to ensure that it is not using VOCA funds to provide services
which could be or have been paid for by Victim Compensation.
N/A
E. Does your agency regularly conduct/receive Victim Compensation training for direct services staff or volunteers?
Z Yes ❑ No Date of last training: continual [raining provided by: Gary Ratlike, Karol Patch
2005 VOCA Application
Page 12 of 16
SECTION H: EVALUATION
Please do NOT than e format o table or a Haitian.
21. EVALUATION: Describe how you will evaluate the efficiency and effectiveness of this project.(Please see
instructions.)
A. Efficiency:
The Victim Witness Assistance Program will utilize both efficiency and effectiveness measures in
evaluation by gathering and compiling statistical data for grant reporting on a quarterly basis.
During 2006, did the Victim Witness Assistance Program provide:
1. services to 1400 primary victims of domestic violence?
2. intial "meaningful consultation" to 90%of misdemeanor domestic violence victims within 24 hours of the criminal episode
which should result in a 50% disposition rate at the defendant's initial hearing?
3. statistics of co-defendant and female defendant domestic violence cases?
4. 10,000 Victim Rights Letters to victims of domestic violence, child abuse, child sexual abuse, adult sexual assault, elderly
victims, at-risk adult victims and Spanish-speaking victims?
5. Victim Impact and Restitution Statements to 4510 victims?
6. court support to 1000 victims including domestic violence victims?
B. Effectiveness:
1. Did training with Law Enforcement Agenices on predominate aggressor, domestic violence investigations and victim dynamics
coorespond with reduction of co-defendant cases and female defendant cases?
2. Were victim surveys reviewed for feedback in the following areas:
a. Did victims feel their contact with the court system was positive under the circumstances? What could have been done better?
b. Did victims feel that Victim Witness Unit Staff was accessible by phone?
c. Did victims feel that what would happen at court hearings was explained adequately to them?
J
2005 VOCA Application
Page 13 of 16
SECTION I: FINANCIAL MANAGEMENT
Please do NOT change format of table or a•elication.
22. FINANCIAL MANAGEMENT: Please answer the following questions.
A. Please provide the(late of your last independent audit or financial review: 112-31-03
Include one copy of your most recent audit or financial review,including ally management report or other auditor
comments,in the appendix.
B. Does your agency expend over$500,000 from combined federal sources in a year? ❑ Yes ® No
C. Please respond to the following questions about whether your accounting system meets the criteria for managing
federal/state grant funds. (These questions cover areas that will be monitored by DCJ staff during site visits or
through other reporting mechanisms. They are not intended to be all inclusive and are not a substitute for the agency's
responsibility to meet all federal and state requirements for these grant funds.)
® Yes ❑ No Does your accounting system separate ALL revenues and expenditures by funding source?
® Yes ❑ No Does your system track revenues and expenditures for each grant award separately through a
sub-ledger system?
Z Yes ❑ No Does your system allow expenditures to be classified by the broad budget categories listed in the
approved budget in your grant, i.e. Personnel, Supplies and Operating,Travel, Equipment and
Professional Services?
® Yes ❑ No Do you reconcile sub-ledgers to your general ledger at least monthly?
• Yes ❑ No Do you mark your invoices that are paid with grant funds and indicate the grant number?
® Yes ❑ No Do you maintain time sheets, signed by the employee and supervisor for each employee paid by
DCJ grant funds?
® Yes ❑ No ❑ N/A If your grant requires a match, does your accounting system clearly identify the funds and
amount used as cash match?
® Yes ❑ No ® N/A If your grant requires a match and you are using in-kind match such as volunteer hours, have you
clearly documented how you are keeping track of the match that you are reporting on your
quarterly financial I-A report?
® Yes ❑ No Do you have written financial policies and procedures in place?
® Yes ❑ No Do you have internal accounting controls in place, such as separation of duties, two signatures on
certain checks,reconciliations or other reviews?
For Continuation Applicants only.
® Yes ❑ No Do you use your accounting system data to prepare your quarterly financial reports for DCJ?
® Yes ❑ No Do you reconcile your accounting system data with your quarterly financial reports for DCJ?
I). If you answered NO to any of the questions above,please provide an explanation.
2005 VOCA Application
Page 14 of 16
SECTION J: SUPPLEMENTAL PAGES FOR NEW APPLICANTS ONLY
Please do NOT change format of table or application.
23. AGENCY INFORMATION AND STATEMENT OF NEED:
A. 'TYPE OF PROJECT(choose one):
❑ Start a new victim services project.
❑ Expand or enhance an existing project not funded by VOCA funds in a previous year.
B. AGENCY DESCRIPTION AND HISTORY:
C. STATEMENT OF NEED FOR THE PROPOSED PROJECT:
2005 VOCA Application
Page 15 of 16
❖ SECTION J- Continued ••
NEW APPLICANTS ONLY
Please do NOT change format of table or application.
24. WORKPLAN FOR ACHIEVING GOALS AND OBJECTIVES: (See instructions.)
2005 VOCA Application
Page 16 of 16
•
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 1 of 12
Special Provisions& Certified Assurances must remain attached to the application
CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY:
V Inter-Governmental Grant
Grant to a Colorado State Agency(Section A does not apply)
✓ Grant to a Unit of Local Government, Tribal Government, or Special District.
Grant to a Non-Profit, Private Organization(Non-Governmental)
The applicant certifies by signing that the project described in this application meets all the requirements of the
applicable governing legislation as indicated below; that all information contained in the application is correct; that
there has been appropriate coordination with affected agencies; and, that the applicant will read, understand and
comply with all provisions of the governing legislation and all other applicable federal and state laws, rules and
regulations that have been or may hereafter be established. The applicant further understands and agrees that any
subgrant award received as a result of this application shall be subject additionally to the grant conditions set forth in
the Statement of Grant Award,and in the current applicable Administrative Guide of the Division of Criminal Justice.
GOVERNING LEGISLATION FOR THIS GRANT PROGRAM:
Victims Of Crime Act Assistance Funds (VOCAL From the United States Department of Justice, Office of
Justice Programs, under federal statutory authority Victims of Crime Act of 1984(VOCA),as amended, Public
Law 98-473, Chapter XIV,42 U.S.C. 10601, et seq., Section 1402, Section 1404, and under applicable program
rules and regulations established by the federal program office.
A. STANDARD STATE SPECIAL PROVISIONS
Effective August 7,2006
1. CONTROLLER'S APPROVAL CRS§24.30-202(1)
This subgrant award shall not be deemed valid until it has been approved by the Controller of the State of Colorado
or such assistant as may be designated.
2. FUND AVAILABILITY CRS§24-30-202 (5.5)
Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that
purpose being appropriated, budgeted, and otherwise made available.
3. INDEMNIFICATION
FOR NON-INTERGOVERNMENTAL GRANTS ONLY:
a. The Subgrantee Agency shall indemnify, save, and hold harmless the State, its employees and
agents, against any and all claims, damages, liability and court awards including costs, expenses,
and attorney fees incurred as a result of any act or omission by the Subgrantee Agency, or its
employees,agents, subcontractors, or assignees pursuant to the terms of this subgrant award.
FOR INTERGOVERNMENTAL GRANTS ONLY:
b. Indemnity: To the extent authorized by law, the Subgrantee Agency shall indemnify, save, and hold
harmless the State, its employees and agents, against any and all claims, damages, liability and
court awards including costs, expenses, and attorney fees incurred as a result of any act or omission
by the Subgrantee Agency, or its employees, agents, subcontractors, or assignees pursuant to the
terms of this subgrant award.
c. No term or condition of this subgrant shall be construed or interpreted as a waiver, express or implied,
of any of the immunities, rights, benefits, protection,or other provisions for the parties, of the Colorado
Governmental Immunity Ad, C.R.S. Section 24-10-101 et seq.or the Federal Tort Claims Ad, 28
U.S.C. 2671 et seq.as applicable, as now or hereafter amended.
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 2 of 12
Special Provisions& Certified Assurances must remain attached to the application
4. INDEPENDENT CONTRACTOR 4 CCR 801-2:
(THIS PROVISION IS NOT APPLICABLE TO GRANTS TO COLORADO STATE AGENCIES):
The Subgrantee Agency shall perform the duties funded under this grant as an independent contractor and not as an
employee of the state. Neither the Subgrantee Agency nor any agent, subcontractor, or employee of the Subgrantee
Agency shall be or shall be deemed to be an agent or employee of the state by virtue of this Subgrant. Subgrantee
Agency shall pay when due all required employment taxes and income tax and local head tax on any monies paid
pursuant to this grant. Subgrantee Agency acknowledges that the Subgrantee Agency and its employees are not
entitled to unemployment insurance benefits unless the Subgrantee Agency or third party provides such coverage
and that the state does not pay for or otherwise provide such coverage. Subgrantee Agency shall not have
authorization, express or implied, to bind the state to any agreements, liability, or understanding except as expressly
set forth herein. If this grant provides funds for any personal services, Subgrantee Agency shall provide and keep in
force workers compensation (and show proof of such insurance) and unemployment compensation insurance in the
amounts required by law. Subgrantee Agency shall be solely responsible for the acts of its employees, independent
sub-contractors and agents.
5. NON-DISCRIMINATION
The Subgrantee Agency agrees to comply with the letter and the spirit of all applicable state and federal laws
respecting discrimination and unfair employment practices.
6. CHOICE OF LAW
The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the
interpretation, execution, and enforcement of this subgrant. Any provision of this subgrant, whether or not
incorporated herein by reference, which provides for arbitration by any extra-judicial body or person or which is
otherwise in conflict with said laws, rules, and regulations shall be considered null and void. Nothing contained in any
provision incorporated herein by reference which purports to negate this or any other special provision in whole or in
part shall be valid or enforceable or available in any action at law whether by way of complaint, defense, or otherwise.
Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this
subgrant to the extent that the subgrant is capable of execution.
At all times during the performance of this subgrant, the Subgrantee Agency shall strictly adhere to all applicable
federal and State laws, rules, and regulations that have been or may hereafter be established.
7. VENDOR OFFSET CRS§24-30-202(1)&CRS§24-30-202.4
(THIS PROVISION APPLIES TO NON-INTERGOVERNMENTAL GRANTS ONLY:)
Pursuant to CRS 24-30-202.4 (as amended), the State Controller may withhold debts owed to State agencies under
the vendor offset intercept system for: (a) unpaid child support debt or child support arrearages; (b) unpaid balance of
tax, accrued interest, or other charges specified in Article 21, Title 39, CRS; (c) unpaid loans due to the Student Loan
Division of the Department of Higher Education; (d) owed amounts required to be paid to the Unemployment
Compensation Fund; and (e) other unpaid debts owing to the State or any agency thereof, the amount of which is
found to be owing as a result of final agency determination or reduced to judgment as certified by the controller.
8. EMPLOYEE FINANCIAL INTEREST CRS§24-18-201 &CRS§24-50-507
The signatories aver that to their knowledge, no employee of the State of Colorado has any personal or beneficial
interest whatsoever in the service or property described herein.
9. SOFTWARE PIRACY PROHIBITION Governor's Executive Order D 002 00
No state or other public funds payable under this subgrant shall be used for the acquisition, operation or maintenance
of computer software in violation of United States copyright laws or applicable licensing restrictions. The Subgrantee
Agency hereby certifies that, for the term of this subgrant and any extensions, the Subgrantee Agency has in place
appropriate systems and controls to prevent such improper use of public funds. If the State determines that the
Subgrantee Agency is in violation of this paragraph, the State may exercise any remedy available at law or equity or
under this subgrant, including, without limitation, immediate termination of the Subgrant and any remedy consistent
with United States copyright laws or applicable licensing restrictions.
10. FEDERAL FUNDING
This subgrant is subject to and contingent upon the continuing availability of federal funds for the purposes hereof.
11. ILLEGAL ALIENS-PUBLIC CONTRACTS FOR SERVICES. CRS 8-17.5-101 and 24-76.5-101
The Subgrantee Agency certifies that the Subgrantee Agency shall comply with the provisions of CRS 8-17.5-101 et
seq. The Subgrantee Agency shall not knowingly employ or contract with an illegal alien to perform work under this
subgrant or enter into a contract with a subcontractor that fails to certify to the Subgrantee Agency that the
subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this subgrant. The
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 3 of 12
Special Provisions &Certified Assurances must remain attached to the application
Subgrantee Agency represents, warrants, and agrees that it (i) has verified that it does not employ any illegal aliens,
through participation in the Basic Pilot Employment Verification Program administered by the Social Security
Administration and Department of Homeland Security, and (h) otherwise will comply with the requirements of CRS 8-
17.5-102(2)(b). The Subgrantee Agency shall comply with all reasonable requests made in the course of an
investigation under CRS 8-17.5-102 by the Colorado Department of Labor and Employment. If the Subgrantee
Agency fails to comply with any requirement of this provision or CRS 8-17.5-101 et seq., the State may terminate this
subgrant for breach and the Subgrantee Agency shall be liable for actual and consequential damages to the State.
A Subgrantee Agency that operates as a sole proprietor hereby swears or affirms under penalty of perjury that the
Subgrantee Agency (i) is a citizen of the United States or otherwise lawfully present in the United States pursuant to
federal law, (ii) shall comply with the provisions of CRS 24-76.5-101 et seq, and (iii) shall produce one of the forms of
identification required by CRS 24-76.5-103 prior to the effective date of this subgrant. Except where exempted by
federal law and except as provided in CRS 24-76.5-103(3), a Subgrantee Agency that receives federal or state funds
under this subgrant must confirm that any individual natural person eighteen years of age or older is lawfully present
in the United States pursuant to CRS 24-76.5-103(4) if such individual applies for public benefits provided under this
subgrant.
B. GRANT REQUIREMENTS
1. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that fund accounting, auditing, monitoring, evaluation procedures
and such records as necessary will be maintained to assure adequate internal fiscal controls,
proper financial management, efficient disbursement of funds received, and maintenance of
required source documentation for all costs incurred. These principles must be applied for all costs
incurred whether charged on a direct or indirect basis.
b. All expenditures must be supported by appropriate source documentation. Only actual, approved,
allowable expenditures will be permitted.
c. The Subgrantee Agency assures that it will comply with the provisions of the current applicable
Administrative Guide of the Division of Criminal Justice which is hereby incorporated by reference.
However, such a guide cannot cover every foreseeable contingency, and the Subgrantee Agency is
ultimately responsible for compliance with applicable state and federal laws, rules and regulations.
2. PAYMENT& REPORTING
a. The Division of Criminal Justice will pay the Subgrantee Agency the reasonable and allowable
costs of performance, in accordance with current Colorado State Fiscal Rules, not to exceed the
amount specified herein as the Total Award Amount, as identified on the Statement of Grant
Award.
b. The Division's requirements for invoice, advance payments, and cost reporting submissions are
contained in the DCJ Form 3- Cash Request Procedures, and DCJ Form 1-A- Subgrant Financial
Report,which are hereby incorporated by reference.
c. Advance payments cannot exceed 30-day operating expenses.
d. The Subgrantee Agency assures that it shall maintain data and information to provide accurate
quarterly program narrative and financial reports to the Division. Said reports shall be provided in
such form and contain such data and information as the Division of Criminal Justice reasonably
requires to administer the program.
e. The Subgrantee Agency assures that quarterly financial and narrative reports shall be submitted
within 30 days of the end of each calendar quarter and shall be current and actual.
f. The Subgrantee Agency further assures that final financial and narrative reports shall be submitted
on the forms provided by the Division of Criminal Justice within 45 days of the end date of the
subgrant.
g. The Division reserves the right to make and authorize modifications, adjustments, and/or revisions
to the Grant Award for the purpose of making changes in budget categories, extensions of grant
award dates, changes in goals and objectives, and other modifications which do not change the
total amount of the Grant Award. The Division's requirements for such grant adjustments are
contained in the procedures for DCJ Forms 4A, 4B, 4C, and 4D, which are hereby incorporated by
reference.
h. The Division may withhold payment in the event the Subgrantee Agency fails to comply with
conditions, including all financial reporting requirements and certifications contained in this grant
award.
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 4 of 12
Special Provisions& Codified Assurances must remain attached to the application
3. PROCUREMENT AND CONTRACTS
a. The Subgrantee Agency assures that open, competitive procurement procedures will be followed
for all purchases under the grant. All contracts for professional services, of any amount, and
equipment purchases over five thousand dollars (per item, with a useful life of at least one year)
must receive prior approval by the Division of Criminal Justice.
b. The Subgrantee Agency assures that no contract or agreement will be made for execution of
project activities or provisions of services (other than purchase of supplies or standard commercial
or maintenance services) that is not incorporated in the approved application or approved in
advance by the Division of Criminal Justice.
c. The Subgrantee Agency assures that contractors/vendors who assist the Subgrantee Agency to
develop specifications, requirements, statements of work and/or Request For Proposal for a
proposed procurement shall be excluded from bidding or submitting a proposal to compete for the
award of such procurement.
d. The Subgrantee Agency assures that where activities supported by this subgrant produce any
discovery or invention, original computer programs, writing, sound recordings, pictorial
reproductions, drawing or other graphical representation and works of any similar nature, the
following requirements apply:
i. The Division of Criminal Justice reserves a royalty-free, non-exclusive, and irrevocable
license to reproduce, publish, or otherwise use, and authorize others to use, for Federal
government purposes: The copyright in any work developed under an award or
subaward; and 2) Any rights of copyright to which a recipient or subrecipient purchases
ownership with support.
ii. If any program produces patentable items, patent rights, processes or inventions, in the
course of work sponsored by the Federal award or subaward funds, such facts must be
promptly and fully reported to the awarding agency, Division of Criminal Justice. The
awarding agency shall determine whether protection on the invention or discovery shall be
sought. The awarding agency will also determine how rights in the invention or discovery
(including rights under any patents issued thereon) shall be allocated and administered in
order to protect the public interest pursuant to published Presidential and government
memorandums and guidelines, and the regulations promulgated by the Department of
Commerce in 37 CFR Part 401.
When issuing statements, press releases, requests for proposals, bid solicitations, and
other published documents describing projects or programs funded in whole or in part with
these grant funds, all Subgrantee Agencies must clearly:
a) State the percentage of the total cost of the program or project, which will be
financed with this grant money;
b) State the dollar amount of state or federal funds for the project or program;
c) Use the phrase-"This project was supported by grant # , issued by the
Colorado Division of Criminal Justice."
e. The Subgrantee Agency may not assign its rights or duties under this grant without the prior written
consent of the Division of Criminal Justice.
4. AUDIT, RECORD-KEEPING,AND MONITORING/INSPECTION
a. The Subgrantee Agency assures that it will procure an audit or financial review by a CPA or
licensed public accountant incorporating the subgrant. If the agency expends more than $500,000
per year in combined federal funds, an audit must be conducted in accordance with OMB Circular
A-133(Audits of States, Local Governments, and non-profit organizations).
At such time as the audit or financial review is completed, ONE COPY OF THE REPORT,
INCLUDING THE CORRESPONDING MANAGEMENT LETTER, MUST BE
FORWARDED TO THE DIVISION OF CRIMINAL JUSTICE for clearance.
H. The Subgrantee Agency accepts responsibility for the costs of a financial program audit to
be performed by the Department of Public Safety in the event that the audit report or
financial review:
a) does not meet the applicable A-133 or DCJ standards;
b) is not submitted in a timely manner; or,
c) does not provide an audit response plan with corresponding corrections made
sufficient to satisfy any audit findings.
b. The Subgrantee Agency assures that:
It will retain all project records, as will facilitate an effective audit,for seven years after the
end of the state fiscal year that includes the end date of the grant. (For example if the
grant ended 9/30/91, the state FY would be July 1, 1991-June 30, 1992. The files could
be destroyed after 6/30/99); except,
•
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 5 of 12
Special Provisions& Certified Assurances must remain attached to the application
If an audit is in progress and/or the findings of a completed audit have not been resolved
satisfactorily, then records must be retained beyond the seven-year period until such
issues are resolved.
c. The Subgrantee Agency assures that it will keep copies of all documents, correspondence, and
required receipts related to this subgrant in a separate file bearing the project title and grant
number.
d. The Division may periodically request submission of supporting financial and programmatic
documentation, subcontracts, general and sub-ledgers for the purpose of monitoring compliance
with the grant award via desk review, or in preparation for an on-site monitoring visit. Routine or
special on-site visits may be conducted at the subgrant agency, and at the location of any
collaborating entities, for the same purpose. Subgrantee Agencies will be notified in advance of
any on-site monitoring visit.
e. The Subgrantee Agency assures that the Division of Criminal Justice, Colorado Department of
Public Safety, shall have access for purposes of monitoring, audit and examinations to any bonds,
documents, papers and records of the Subgrantee Agency and to relevant books and records of
subcontractors of the Subgrantee Agency. It is the responsibility of the Subgrantee Agency to
notify any of its project collaborators and subcontractors of these provisions.
f. The Subgrantee Agency assures that signatories of the application and subgrant award and
personnel employed through this subgrant will appear when requested at any administrative
hearing, monitoring site visit,conference or meeting conducted by the Division of Criminal Justice.
5. COLORADO VICTIM RIGHTS ACT
The Subgrantee Agency assures that the application signatories,all staff and all volunteers assigned to the
funded project have read and understand the rights afforded to crime victims pursuant to§24-4.1-302.5
C.R.S., and the services delineated pursuant to§§24-4.1-303 and 24-4.1-304 C.R.S., commonly known as
the Victim Rights Act,and enabling legislation.
6. TERMINATION or REDUCTION IN GRANT AWARD
The Division will monitor the performance of the Subgrantee Agency against goals and performance
standards required herein. The Division will provide reasonable assistance to the Subgrantee Agency
concerning project goals, performance standards and subgrant requirements. Any determination of
substandard performance on the part of the Subgrantee Agency shall be within the discretion of the Division,
based upon the Division's review of the terms and conditions of the Grant Award,the application and project
summary, the grant terms and assurances, and the requirements of applicable law. Substandard
performance, as determined by the Division, shall constitute non-compliance, which may result in
termination for cause, or reduction of the Grant Award for cause, as follows:
a. Reduction In Grant Award Amount for Cause
The Division may reduce the total Statement of Grant Award amount for cause, without
compensation for reduction costs.
If the state reduces the grant amount for cause, it will first give ten (10)days written notice
to the Subgrantee Agency, stating the reasons for reduction, steps taken to correct the
problems, and the date the subgrant award amount will be reduced in the event problems
have not been corrected to the satisfaction of the Division.
In the event this grant is reduced for cause, the Division will only reimburse the
Subgrantee Agency for acceptable work or deliverables received up to the date of
reduction.
iv. In the event this grant is reduced for cause, final payment to the Subgrantee Agency may
be withheld at the discretion of the Division until completion of final Division review.
b. Termination for Convenience:
Either party may terminate the grant with thirty days written notice of intent to cancel or
terminate.
If the grant is terminated for convenience by either the Subgrantee Agency or the state,
the Subgrantee Agency shall be paid the necessary and allowable costs incurred through
the date of termination, but not exceeding a prorated amount based on the number of
days of project operation prior to the date of termination.
c. Termination for Cause:
The Division may terminate the grant for cause without compensation for termination
costs.
H. If the state terminates the grant for cause, it will first give ten (10) days written notice to
the Subgrantee Agency, stating the reasons for termination, steps taken to correct the
problems, and the date the subgrant will be terminated in the event problems have not
been corrected to the satisfaction of the Division.
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 6 of 12
Special Provisions& Certified Assurances must remain attached to the application
In the event this grant is terminated for cause, the Division will only reimburse the
Subgrantee Agency for acceptable work or deliverables received up to the date of
termination.
iv. In the event this grant is terminated for cause, final payment to the Subgrantee Agency
may be withheld at the discretion of the Division until completion of final Division review.
d. Any equipment purchased under this grant would revert, at the option of the Division, to the
Division of Criminal Justice upon termination of the grant for any of the above reasons.
7. ORDER OF PRECEDENCE
Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a)
Special Provisions and Certified Assurances, (b) Statement of Grant Award; and, (c) the final approved
Subgrant Application.
8. DISPUTE RESOLUTION
(THIS PROVISION APPLIES ONLY TO INTERAGENCY AGREEMENTS):
Any failure of either party to perform in accordance with the terms of this agreement shall constitute a
breach of the agreement. Any dispute concerning the performance of this agreement which cannot be
resolved at the divisional level shall be referred to superior departmental management staff designated by
each department. Failing resolution at that level, disputes shall be presented to the executive directors of
each department for resolution. Failing resolution by the executive directors, the dispute shall be submitted
in writing by both parties to the State Controller,whose decision on the dispute will be final.
C. FEDERAL CERTIFIED ASSURANCES
1. FEDERAL PUBLIC POLICY ASSURANCES
a. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with
the applicable provisions of:
Title I of the Omnibus Crime Control and Safe Streets Act of 1968,as amended;
The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act, as
appropriate;
All other applicable Federal laws,orders,circulars, regulations or guidelines.
b. The Subgrantee Agency hereby agrees that it will comply, and all of its contractors will comply with
the provisions of 28 CFR applicable to grants and cooperative agreements including:
Part 18,Administrative Review Procedure;
ii. Part 22, Confidentiality of Identifiable Research and Statistical Information;
iv. Part 23, Criminal Intelligence Systems Operating Policies;
v. Part 30, Intergovernmental Review of Department of Justice Programs and Activities;
vi. Part 35, Nondiscrimination on the Basis of Disability in State and Local Government
Services;
vii. Part 38, Equal Treatment for Faith Based Organizations
vi. Part 42, Nondiscrimination/Equal Employment Opportunity Policies and Procedure;
vii. Part 61, Procedures of Implementing the National Environmental Policy Act;
viii. Part 63, Floodplain Management and Wetland Protection Procedures;and,
ix. Federal Laws or regulations applicable to Federal Assistance Programs.
2. FINANCIAL&ADMINISTRATIVE MANAGEMENT
a. The Subgrantee Agency assures that it will comply with appropriate federal cost principles and
administrative requirements applicable to grants as follows:
For state, local or Indian tribal government entities;
a) OMB Circular A-87, Cost Principles for State, Local& Indian Tribal Governments
b) OMB Circular A-102, Common Rule-Uniform Administrative Requirements for
Grants and Cooperative Agreements to State and Local Governments
c) 28 CFR 66, Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and Local Governments
For non-profit organizations;
a) OMB Circular A-122, Cost Principles for Non-Profit Organizations
b) OMB Circular A-110, Uniform Administrative Requirements for Grants and
Agreements with Institutions of Higher Education, Hospitals and Other Nonprofit
Organizations
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative
Agreements with Institutions of Higher Education, Hospitals, and other Non-Profit
Organizations
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 7 of 12
Special Provisions& Certified Assurances must remain attached to the application
For colleges and universities;
a) OMB Circular A-21, Cost Principles for Educational Institutions
b) OMB Circular A-110, Uniform Administrative Requirements for Grants and
Agreements with Institutions of Higher Education, Hospitals and Other Nonprofit
Organizations
c) 28 CFR 70, Uniform Administrative Requirements for Grants and Cooperative
Agreements with Institutions of Higher Education, Hospitals, and other Non-Profit
Organizations
iv. For each agency spending more than$500,000 per year in federal funds from all sources;
a) OMB Circular A-133, Audits of States, Local Governments and Nonprofit
Organizations
b. The Subgrantee Agency assures that it will comply with the provisions of the Office of the
Comptroller, Office of Justice Programs OC Financial Guide for Grants, current edition. (For
practical purposes, the requirements pertinent to the management of these funds have been
extracted from the above documents and are contained in the current applicable Administrative
Guide of the Division of Criminal Justice, which is hereby incorporated by reference. However,
such a guide cannot cover every foreseeable contingency, and the Subgrantee Agency is ultimately
responsible for compliance with applicable state and federal laws, rules and regulations.)
3. NON-SUPPLANTING OF FUNDS (Governmental Agencies Only)
a. The Subgrantee Agency certifies that any required matching funds used to pay the non-federal
portion of the cost of this subgrant are in addition to funds that would have otherwise been made
available for the purposes of this project.
b. The Subgrantee Agency certifies that federal funds made available under this grant:
Will not be used to supplant state or local funds;
That the Subgrantee Agency's expenditures for the purpose described in this application
for the annual period are as great as for the preceding year plus the average annual
increment in such expenditures for the past two,three,four or five years;OR
Where the certification above (3b.ii)cannot be made, and there is a reduced or
unchanged local investment,then the Subgrantee Agency shall give a written explanation
demonstrating that the Subgrantee Agency's reduced or unchanged commitment would
have been necessitated even if federal financial support under this federal grant program
had not been made available.
4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS (Subgrantee Agencies receiving $100,000 or
more in total federal funds per year. See 28 CFR Part 69.)
The prospective Subgrantee Agency certifies, by submission of this proposal,that:
a. No federal funds received through this subgrant will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, an officer or
employee of Congress, or an employee of a member of Congress in connection with the making of
any federal grant, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any federal grant or cooperative agreement; and,
b. If any funds other than funds through this subgrant will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, an officer or
employee of Congress, or an employee of a member of Congress in connection with this subgrant,
the prospective Subgrantee Agency shall complete and submit Standard Form-LLL, "Disclosure of
Lobbying Activities."
5. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION (Subgrantee Agencies receiving$100,000 or more in total federal funds per year. See, 28
CFR Part 67.)
The prospective Subgrantee Agency certifies, by submission of this proposal,that neither it nor its principals,
subcontractors or suppliers:
a. Are presently debarred, suspended, proposed for debarment, declared ineligible,sentenced to a
denial of Federal benefits by a State or Federal court, or voluntarily excluded from participation in
this transaction by any Federal department or agency;
b. Have not within a three-year period preceding this application been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public(Federal, State, or local)transaction or
contract under a public transaction;violation of Federal or State antitrust statutes or commission of
embezzlement,theft,forgery, bribery,falsification or destruction of records, making false
statements, or receiving stolen property;
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE a of 12
Special Provisions& Certified Assurances must remain attached to the application
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(Federal, State, or local)with commission of any of the offenses enumerated in paragraph (5)(b)of
this certification; and
d. Have not within a three-year period preceding this application had one or more public transactions
(Federal, State, or local)terminated for cause or default;and
e. Where the prospective Subgrantee Agency is unable to certify to any of the statements in this
certification, he or she shall attach an explanation to this application.
6. CERTIFICATION REGARDING DRUG FREE WORKPLACE (See, 28 CFR Part 67, Subpart F.)
The prospective Subgrantee Agency certifies, by submission of this proposal, that it will comply with the
Drug Free Workplace Act of 1988, as implemented at 28 CFR Part 67, Subpart F.
7. CIVIL RIGHTS COMPLIANCE (See, 28 CFR Part 42.)
a. Upon award, each Subgrantee Agency will be provided DCJ's Form 30, entitled "Certification of
Compliance with Regulations Regarding Federal Civil Rights Requirements and Equal Employment
Opportunity Plans(EEOP)", and will be required to do the following:
The Project Director must submit the form to the Subgrantee Agency's Authorized Official
for this grant;
The Authorized Official must review the form in conjunction with subgrant agency
personnel responsible for reporting civil rights findings of discrimination;
The Authorized Official must accurately complete the required information and provide all
information requested;
iv. The Authorized Official must provide an original signature on the form as indicated;and,
v. The DCJ 30 Form with original signature must be returned to the Division with the
Statement of Grant Award (SOGA).
b. Any Subgrantee Agency findings of discrimination must be reported to the Division of Criminal
Justice within 45 days of receipt of this grant award, and to the Office for Civil Rights, Office of
Justice Programs, U.S. Department of Justice.
8. NON-DISCRIMINATION
The following federal non-discrimination cites apply in particular: the nondiscrimination requirements of the
Omnibus Crime Control and Safe Streets Act of 1968, as amended; Title VI of the Civil Rights Act of 1964;
Section 504 of the Rehabilitation Act of 1973, as amended; Subtitle A, Title II of the Americans with
Disabilities Act of 1990, 42 U.S.C. 12101, et. seq. and Department of Justice Regulations on Disability
Discrimination, 28 CFR Part 35 and Part 39;Title IX of the Education Amendments of 1972; the Age
Discrimination Act of 1975; the Department of Justice Nondiscrimination Regulations 28 CFR Part 42,
Subparts C, D, E, and G; and Executive Order 11246, as amended by Executive Order 11375, and their
implementing regulations,41 CFR Part 60.1 et seq., as applicable to construction contracts.
9. NATIONAL ENVIRONMENTAL POLICY ACT(NEPA)AND NATIONAL HISTORIC PRESERVATION ACT
(NHPA)COMPLIANCE (42 USC§§4321-4370 and 16 USC§470)
a. The Subgrantee Agency agrees to assist the Division of Criminal Justice and the Office of Justice
Programs, U.S. Department of Justice, in complying with the National Environmental Policy Act,the
National Historic Preservation Act (NHPA) and other related federal environmental impact analyses
requirements in the use of these grant funds either directly by the Subgrantee Agency or by a
subcontractor.As long as the activity needs to be undertaken in order to use these grant funds,this
NEPA requirement first must be met whether or not the activities listed below are being specifically
funded with these grant funds.The activities covered by this special condition are:
New construction;
ii. Minor renovation or remodeling of a property either listed on or eligible for listing on the
National Register of Historic Places, or located within a 100-year flood plain;
Renovation, lease or any other proposed use of a building or facility that will either result
in a change in its basic prior use, or significantly change its size.
iv. Implementation of a new program involving the use of chemicals other than chemicals that
are either purchased as an incidental component of a funded activity and traditionally
used,for example, in office, household, recreational or educational environments.
10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
(THIS PROVISION APPLIES ONLY TO ENTITIES THAT PROVIDE MEDICAL CARE AND TREATMENT)
The Subgrantee Agency acknowledges that it is a covered health care provider under the Health Insurance
Portability and Accountability Act,42 U.S.C. 1320d-1320d-8, and its implementing regulations and agrees to
comply with the requirements of HIPAA concerning any uses and disclosures of protected health
information.
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 9 of 12
Special Provisions& Certified Assurances must remain attached to the application
11. UNIFORM RELOCATION ASSISTANCE AND REAL PROPERTY ACQUISITIONS ACT OF 1970
(Government Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal,that it will comply with the
requirements of the Uniform Relocation Assistance and Real Property Acquisitions Act of 1970,which
govern the treatment of persons displaced as a result of federal and federally-assisted programs.
12. POLITICAL ACTIVITY OF CERTAIN STATE AND LOCAL EMPLOYEES (5 U.S.C.§§ 1501-08 and§§
7324-28—applies to Government Entities Only)
The prospective Subgrantee Agency certifies, by submission of this proposal,that it will comply with
requirements of 5 U.S.C. §§ 1501-08 and§§7324-28,which limit certain political activities of State and local
government employees whose principal employment is in connection with an activity financed in whole or
part by federal assistance.
D. SUBRECIPIENT ORGANIZATION ELIGIBILITY REQUIREMENTS
VOCA establishes eligibility criteria that must be met by all organizations that receive VOCA funds. These funds are
to be awarded to subrecipients only for providing services to victims of crime through their staff. Each subrecipient
organization shall meet the following requirements.
1. PUBLIC OR NONPROFIT ORGANIZATION
To be eligible to receive VOCA funds, organizations must be operated by a public or nonprofit organization,
or a combination of such organizations, and provide services to crime victims.
2. RECORD OF EFFECTIVE SERVICES
Demonstrate a record of providing effective services to crime victims. This includes having the support and
approval of its services by the community, a history of providing direct services in a cost-effective manner,
and financial support from other sources.
3. NEW PROGRAMS
Those programs that have not yet demonstrated a record of providing services may be eligible to receive
VOCA funding, if they can demonstrate that 25-50 percent of their financial support comes from non-federal
sources. It is important that organizations have a variety of funding sources besides federal funding in order
to ensure their financial stability. States are responsible for establishing the base level of non-federal
support required within the 25-50 percent range.
4. PROGRAM MATCH REQUIREMENTS
The purpose of matching contributions is to increase the amount of resources available to the projects
supported by grant funds. Matching contributions of 20% (cash or in-kind) of the total cost of each VOCA
project(VOCA grant plus match)are required for each VOCA-funded project and must be derived from non-
federal sources, except as provided in the OJP Financial Guide, effective edition (Part III. Post Award
Requirements, Chapter 3. Matching or Cost Sharing). All funds designated as match are restricted to the
same uses as the VOCA victim assistance funds and must be expended within the grant period. Match
must be provided on a project-by-project basis. Any deviation from this policy must be approved by OVC.
For the purposes of this program, in-kind match may include donations of expendable equipment, office
supplies, workshop or classroom materials, work space, or the monetary value of time contributed by
professionals and technical personnel and other skilled and unskilled labor, if the services they provide are
an integral and necessary part of a funded project. The value placed on donated services must be
consistent with the rate of compensation paid for similar work in the subrecipient's organization. If the
required skills are not found in the subrecipient's organization, the rate of compensation must be consistent
with the labor market. In either case, fringe benefits may be included in the valuation. The value placed on
loaned or donated equipment may not exceed its fair market value. The value of donated space may not
exceed the fair rental value of comparable space as established by an independent appraisal of comparable
space and facilities in privately owned buildings in the same locality.
a. Record Keeping. VOCA recipients and their subrecipients must maintain records that clearly show
the source, the amount, and the period during which the match was allocated. The basis for
determining the value of personal services, materials, equipment, and space must be documented.
Volunteer services must be documented, and to the extent feasible, supported by the same
methods used by the subrecipient for its own paid employees. The state has primary responsibility
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 10 of 12
Special Provisions&Certified Assurances must remain attached to the application
for subrecipient compliance with the requirements. State grantees are encouraged not to require
excessive amounts of match.
b. Exceptions to the 20% match: OVC sets lower match requirements for:
Native American Tribes/Organizations Located on Reservations. The match for new or
existing VOCA subrecipients that are Native American tribes/organizations located on
reservations is 5% (cash or in-kind) of the total VOCA project. For the purpose of this
grant, a Native American tribe/organization is defined as any tribe, band, nation, or other
organized group or community which is recognized as eligible for the special programs
and services provided by the U.S. to Native Americans because of their status as Native
Americans. A reservation is defined as a tract of land set aside for use of, and occupancy
by, Native Americans.
The U.S. Virgin Islands, and all other territories and possessions of the U.S., except
Puerto Rico, are not required to match VOCA funds. See 48 U.S.C. 1469a(d).
OVC may waive the match requirement if extraordinary need is documented by State
VOCA administrators.
5. VOLUNTEERS
Subrecipient organizations must use volunteers unless the state grantee determines there is a compelling
reason to waive this requirement. A "compelling reason" may be a statutory or contractual provision
concerning liability or confidentiality of counselor/victim information, which bars using volunteers for certain
positions, or the inability to recruit and maintain volunteers after a sustained and aggressive effort.
6. PROMOTE COMMUNITY EFFORTS TO AID CRIME VICTIMS
Promote, within the community, coordinated public and private efforts to aid crime victims. Coordination
may include, but is not limited to, serving on state, federal, local, or Native American task forces,
commissions, working groups, coalitions, and/or multi-disciplinary teams. Coordination efforts also include
developing written agreements that contribute to better and more comprehensive services to crime victims.
Coordination efforts qualify an organization to receive VOCA victim assistance funds, but are not activities
that can be supported with VOCA funds.
7. HELP VICTIMS APPLY FOR COMPENSATION BENEFITS
Such assistance may include identifying and notifying crime victims of the availability of compensation,
assisting them with application forms and procedures, obtaining necessary documentation, and/or checking
on claim status.
8. COMPLY WITH FEDERAL RULES REGULATING GRANTS
Subrecipients must comply with the applicable provisions of VOCA, the Program Guidelines, and the
requirements of the OJP Financial Guide, effective edition, which includes maintaining appropriate
programmatic and financial records that fully disclose the amount and disposition of VOCA funds received.
This includes: financial documentation for disbursements; daily time and attendance records specifying time
devoted to allowable VOCA victim services; client files; the portion of the project supplied by other sources
of revenue;job descriptions;contracts for services; and other records which facilitate an effective audit.
9. MAINTAIN CIVIL RIGHTS INFORMATION
Maintain statutorily required civil rights statistics on victims served by race, national origin, sex, age, and
disability, within the timetable established by the state grantee; and permit reasonable access to its books,
documents, papers, and records to determine whether the subrecipient is complying with applicable civil
rights laws. This requirement is waived when providing a service, such as telephone counseling, where
soliciting the information may be in appropriate or offensive to the crime victim.
10. COMPLY WITH STATE CRITERIA
Subrecipients must abide by any additional eligibility or service criteria as established by the state grantee
including submitting statistical and programmatic information on the use and impact of VOCA funds, as
requested by the grantee.
11. SERVICES TO VICTIMS OF FEDERAL CRIMES
Subrecipients must provide services to victims of federal crimes on the same basis as victims of state/local
crimes.
12. NO CHARGE TO VICTIMS FOR VOCA-FUNDED SERVICES
•
SPECIAL PROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 11 of 12
Special Provisions& Certified Assurances must remain attached to the application
Subrecipients must provide services to crime victims, at no charge, through the VOCA-funded project. Any
deviation from this provision requires prior approval by the state grantee. Prior to authorizing subrecipients
to generate income, OVC strongly encourages administrators to carefully weigh the following considerations
regarding federal funds generating income for subrecipient organizations.
a. The purpose of the VOCA victim assistance grant program is to provide services to all crime victims
regardless of their ability to pay for services rendered or availability of insurance or other third-party
payment resources. Crime victims suffer tremendous emotional, physical, and financial losses. It
was never the intent of VOCA to exacerbate the impact of the crime by asking the victim to pay for
services.
b. State grantees must ensure that they and their subrecipients have the capability to track program
income in accordance with federal financial accounting requirements. All VOCA-funded program
and match income, no matter how large or small, is restricted to the same uses as the VOCA grant.
Program income can be problematic because of the required tracking systems needed to monitor
VOCA-funded income and ensure that it is used only to make additional services available to crime
victims. For example: VOCA often funds only a portion of a counselor's time. Accounting for
VOCA program income generated by this counselor is complicated, involving careful record
keeping by the counselor,the subrecipient program, and the state.
13. CLIENT—COUNSELOR CONFIDENTIALITY
Maintain confidentiality of client-counselor information, as required by state and federal law.
14. CONFIDENTIALITY OF RESEARCH INFORMATION
Except as otherwise provided by federal law, no recipient of monies under VOCA shall use or reveal any
research or statistical information furnished under this program by any person and identifiable to any specific
private person for any purpose other than the purpose for which such information was obtained in
accordance with VOCA. Such information, and any copy of such information, shall be immune from legal
process and shall not, without the consent of the person furnishing such information, be admitted as
evidence or used for any purpose in any action, suit, or other judicial, legislative, or administrative
proceeding. See Section 1407(d)of VOCA codified at 42 U.S.C. 10604.
These provisions are intended, among other things, to ensure the confidentiality of information provided by crime
victims to counselors working for victim services programs receiving VOCA funds. Whatever the scope of application
given this provision, it is clear that there is nothing in VOCA or its legislative history to indicate that Congress
intended to override or repeal, in effect, a state's existing law governing the disclosure of information which is
supportive of VOCA's fundamental goal of helping crime victims. For example, this provision would not act to
override or repeal, in effect, a state's existing law pertaining to the mandatory reporting of suspected child abuse.
(See Pennhurst School and Hospital v. Halderman, et al., 451 U.S. 1 (1981).) Furthermore, this confidentiality
provision should not be interpreted to thwart the legitimate informational needs of public agencies. For example,this
provision does not prohibit a domestic violence shelter from acknowledging, in response to an inquiry by a law
enforcement agency conducting a missing person investigation, that the person is safe in the shelter. Similarly, this
provision does not prohibit access to a victim service project by a federal or state agency seeking to determine
whether federal and state funds are being utilized in accordance with funding agreements.
E. PROGRAM SPECIFIC REQUIREMENTS
The following program specific requirements are imposed by the State sponsoring agency concerning special
requirements of law, program requirements, and other administrative requirements which must be passed on to
subgrant award recipients. These requirements are more likely to change from year-to-year than the special
provisions and federal certified assurances shown above,and usually vary across offices within the Division.
1. FUTURE FUNDING
The capacity for VOCA funds to provide future continuation dollars for projects is undetermined at this time.
Subgrantee Agencies are advised to seek other funding sources, especially for personnel dollars.
2. STATE CONFIDENTIALITY OF VICTIMS INFORMATION
The Subgrantee Agency certifies that the signing authorities, all staff and volunteers assigned to the VOCA-
funded project have read and understood, state laws and applicable rules of professional conduct related to
issues of confidentiality and privilege, particularly with respect to releasing identifying information about
victims of crime, including, but not limited to, those found in C.R.S. §13-90-107.
3PEC{AL?ROVISIONS AND CERTIFIED ASSURANCES SPCA PAGE 12 of 12
Special Provisions & Certified Assurances must remain attached to the application
SIGNATURE PAGE ->->-> TO BE COMPLETED BY ALL APPLICANTS
(ORIGINAL SIGNATURES REQUIRED-Please sign in BLUE ink. See instructions for description of proper
signatories.)
The Subgrantee Agency and responsible signatories certify by signing that they have read the Application including
the Special Provisions and Certified Assurances, and are fully cognizant of their duties and responsibilities for this
project. The Subgrantee Agency understands and agrees that any subgrant award received as a result of this
application shall incorporate by reference the information contained herein. Responsibility for narrative and fiscal
reporting requirements are delegated to the designated Project Director, who will sign all such reports. This
delegation is for purposes of reporting to the Division and for operational ease, and in no way limits the authority and
responsibility of the Authorized Official. In accordance with the Colorado Revised Statutes 24-72-202.6, information
supplied in this application is considered a public record.
AUTHORIZED OFFICIAL
Name M.J. Geile
Position Board Chair
Agency Board of County Commissioners , Weld County
Mailing Address PO Box 758
City,State,Zip Greeley, CO 80632
Telephone# (970) 336-7204 ext 4200
Fax# (970 ) 352-0242
E-mail Address MGeile@o.weld.co.us
Signature Date
10/02/2006
FINANCIAL OFFICER
Name Donald D. Warden
Position Director of Finance and Administration
Agency Weld County Government
Mailing Address PO Box 758
City, State,Zip Greeley, CO 80632
Telephone# (970) 356-4000 ext 4218
Fax# (970 "352-0242
E-mail Address i
dw rden@co .w�ld,.co�us
Signature � Date
41-11et /// ' �f� 10/02/2006
P O CT DIRECTOR
Name
JoAnn Holden
Position
Director of Victim Services
Agency Weld County District Attorney' s Office
Mailing Address PO Box 1167
City, State,Zip Greeley, CO 80632
Telephone# (970 ) 356-4010 X 4747
Fax# (970) 352-8Q23
E-mail Address h en@cp. e .co.us
Signature Da
� 0.2 "\"-- 6-290
•
CERTIFICATION OF MATCHING FUNDS - (All Applicants)
If no match is required,you may disregard this page.
PLEASE BE ADVISED that Weld County Government has appropriated
(unit of government,forfeiture fund,non-profit agency,or corporation)
funds in the amount of$B 55-7.00 to match federal funds for the Victim Witness Assistance Unit
(project title)
The source(s)of these funds is non—federal governmental funds
These funds are made available as CASH or _ IN-
KIND match
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process, which by state or local government law or practice, binds and
obligates the state/local unit of government or the implementing agency to use such funds for purposes
of this grant funded project, or permits such uses. The funds are, or will be (within the project
duration), actually provided for such purposes.
Signature must be by the individual
authorized to commit these funds on behalf
of the unit of government, forfeiture fund,
non-profit agency or corporation. This
Sincerely, individual is either the Authorized Official
I on this grant or appropriate financial
controller of matching funds.
�� /���'q 10/02/2006
Sig at re . Pi/Ai Date
M J. Geile
Typed Name
Board Chair, Weld County Commissioners
Title
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